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Individual

DR. LINA M. CARDENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS, PHD

Contact information

Practice address
102 PALO ALTO RD STE 400, SAN ANTONIO, TX 78211-3793
(210) 924-8770
Mailing address
PO BOX 29732, SAN ANTONIO, TX 78229-0732
(210) 380-4066

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
21471
TX
1223P0221X
Pediatric Dentistry
Primary
21471
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160823403
TX
05
160823407
TX
05
160823409
TX
01
21471
TEXAS DENTAL LICENSE
TX
01
88D731
BCBS
TX
Enumeration date
06/27/2006
Last updated
10/02/2020
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